ORLAND MEMORIAL POST 111

AMERICAN LEGION

Membership Application


Yes!  I will help my fellow veterans by becoming a member of The American Legion.

I certify by forwarding this application that I served at least one day of active military duty during the dates marked below and was honorably discharged or am still serving honorably. I am submitting  forty ($40.00) dollars for annual membership in the American Legion, along with a copy of my DD-214 discharge form, or a copy of my current Military Identification Card to:  ORLAND MEMORIAL POST 111, P.O. BOX 413, ORLAND PARK, IL 60462.


Prefix: (Ex: Dr, Rev, Mr.) ______


First Name ________________Middle Initial ___ Last Name _______________________


Suffix (Ex: Sr, Jr, ) ______                              Date of Birth (MM/DD/YYYY) ____/____/_______


Address Line 1 _____________________________________________________________________


Address Line 2 _____________________________________________________________________


City __________________________________State _________Zip Code_____________


Phone No. (_____)_____________________    E-Mail ____________________________


                      Dates of Service                                                                                        Branch of Service

___ Aug 2, 1990 to Present                                                                                        ___ US ARMY

___ Dec 20, 1989 to Jan 31, 1990                                                                             ___ US AIR FORCE

___ Aug 24, 1982 to Jul 31, 1984                                                                              ___ US COAST GUARD

___ Feb 28, 1961 to May 7, 1975                                                                               ___ US MARINE CORPS

___ Jun 25, 1950 to Jan 31, 1955                                                                              ___ US NAVY

___ Dec 7, 1941 to Dec 31, 1946                                                                                 ___US MERCHANT MARINES

                                                                                                                                                             (12/41 to 12/46)


(Signed) ______________________________________________________


Date____________________________